Jim Taliaferro Cmhc
LBN: Jim Taliaferro Cmhc
Jim Taliaferro Cmhc is an health care organization with primary practice located at 411 Fowler Dr , Duncan OK 73533-2336. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Jim Taliaferro Cmhc can be contacted via phone (580) 248-5780, or through Lee, Terri via phone (580) 250-2640.
Contact Information
Primary practice address
411 Fowler Dr
Duncan OK 73533-2336
Phone: (580) 248-5780
Fax: (580) 353-3202
Website:
Authorized official contact:
Name: Lee, Terri Licensed Professional Counselor (LPC)
Phone: (580) 250-2640
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0005111 | Oklahoma |
Profile Details
| NPI number | 1972648004 |
|---|---|
| LBN Legal business name | Jim Taliaferro Cmhc |
| DBA Doing business as | |
| Authorized official | Lee, Terri Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jan 30th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972648004 | NPPES |
| Oklahoma | MEDICAID | 100706940C | |
| Oklahoma | MEDICAID | 100706940J |
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